手术前关节炎是否会影响上层囊重建的结果? 一个系统的审查
Tae-Hoon Park1, Hyungsuk Kim2, Sukil Kim3
1Department of Medicine, Graduate School, The Catholic University of Korea, Seoul, Korea.
Clinics in orthopedic surgery
|February 6, 2026
概括
对于巨大的不可修复的旋转手套撕裂 (RCT) 的上层囊重建 (SCR) 显示,随着关节炎的严重程度的增加,疼痛缓解和运动范围的改善有所减少. 然而,SCR对于晚期关节炎病例 (哈马达3-4级) 可能仍然有效.
科学领域:
- 整形外科手术 整形外科手术
- 肩膀重建的重建 肩膀重建的重建
- 生物机械分析 生物机械分析
背景情况:
- 在巨大的不可修复的旋转手套撕裂 (RCT) 与并发性退行性关节炎中进行高级囊重建 (SCR) 的指示受到辩论.
- 关节炎严重程度对SCR结果的影响需要进一步澄清.
研究的目的:
- 在不同程度的退行性关节炎的情况下,系统地审查SCR的临床和放射性结果,以检查不可挽回的RCT.
- 评估关节炎严重程度 (哈马达等级) 对SCR后患者报告和功能结果的影响.
主要方法:
- 按照PRISMA指南进行了系统审查,搜索了PubMed,Embase和谷歌学者.
- 包括的研究报告了Hamada等级和SCR后的临床/放射性结果 (ASES得分,pVAS,FF,AHD) 对于不可挽回的RCT.
主要成果:
- 在关节炎严重程度影响美国肩膀和肘部外科医生 (ASES) 评分改善方面没有发现一致的趋势 (p > 0.05).
- 随着关节炎的严重程度的增加,观察到疼痛视觉模拟尺度 (pVAS) 降低和向前曲 (FF) 改善的趋势.
- 随着哈马达等级的提高,部部距离 (AHD) 的改善往往会增加.
结论:
- 关节炎的严重程度并不总是影响SCR后ASES得分的改善.
- 关节炎严重程度的增加与SCR后的pVAS和FF改善的减少有关.
- 即使在患有哈马达3级和4级关节炎的患者中,SCR也可以成为不可弥补的RCT的可行治疗选择.
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